Dermatology Healthcare, LLC Settlement Amid Medicare Fraud

Dermatology Healthcare, LLC has agreed to a $4 million settlement resolving allegations that it violated the False Claims Act. Specifically, the company allegedly submitted false claims to obtain millions of dollars in Medicare and Medicaid reimbursements for treatments related to non-melanoma skin cancer with superficial radiation therapy.

“Health care providers will be held accountable for the claims they submit to federal health care programs,” said U.S. Attorney Chapa Lopez. “As this settlement makes clear, our civil division continues to make healthcare fraud enforcement a core part of the mission of our office.”

According to the settlement agreement, from January 1, 2011, to December 31, 2016, Dermatology Healthcare failed to adequately supervise the administration of superficial radiation therapy. It also up-coded claims for procedures related to superficial radiation therapy. Finally, the company over-utilized radiation simulations.